Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Wiley-Blue Holtzclaw, DMD

Individual provider General Practice Dentistry · NPI 1275150658

Jacob Wiley-Blue Holtzclaw, DMD is a General Practice Dentistry in Albany, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1725 Dawson Rd
Albany, GA 31707-3362
Phone: (229) 883-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN016080 (GA)

Record details

NPI number1275150658
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 1, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

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